Friday, February 3, 2012
CMS Rural Health Open Door Forum
The next CMS Rural Health Open Door Forum is scheduled for Tuesday, March 13, 2012 from 2:00pm-3:00pmET. To participate, dial 1-800-837-1935 Conference ID 27273952. The Rural Health ODF addresses RHC, CAH and FQHC issues, as well as some inclusion of other questions and concerns that occur in clinical practice pertaining to other CMS payment systems that also extend into these settings. For more information, click here
Thursday, February 2, 2012
Register Now for the ICD 10 - Keys to Successful Transition Workshop near you
- February 22nd in Rifle, Colorado
- February 23rd in Yuma, Colorado
- March 27th in Alamosa, Colorado
- March 28th in Lamar, Colorado
2012 Colorado Rural Credentialing Network – Register Today!
This peer learning network for rural hospitals and clinics offers educational webinars facilitated by a credentialing specialist, access to tools and resources, access to a credentialing specialist for your general credentialing questions, and group discounts on more in-depth credentialing consultations. Membership in the 2012 Credentialing Network is $250 for CRHC members and $375 for non-members. Webinars begin in February. For more information click here.
Utilization Management for CAHs – Webinar
February 28, 2012 11:00am-12:30pm
Join CRHC for this webinar on Utilization Management (UM) and Utilization Review (UR) for CAHs. All hospitals, including CAHs, must have a UM/UR Plan that describes the process used to review all services provided by the institution and by the members of the medical staff. In addition to assuring optimal healthcare delivery and positive patient outcomes, sound UM/UR practices are integral to achieving successful results during activities such as RAC audits. During this webinar, experts from the Joffit Group, will discuss the components involved in setting up an efficient UM/UR process and will review CRHC's Utilization Management Resource for Critical Access Hospitals: a concise, easy-to-use tool for hospital providers and staff that explains the role of UM/UR in various CAH settings including: Inpatient, Outpatient, Observation, and Swing Bed. This webinar is FREE for all CRHC-member Colorado CAHs; $79 for all non-member Colorado CAHs, and $99 for all others. For more information click here.
Join CRHC for this webinar on Utilization Management (UM) and Utilization Review (UR) for CAHs. All hospitals, including CAHs, must have a UM/UR Plan that describes the process used to review all services provided by the institution and by the members of the medical staff. In addition to assuring optimal healthcare delivery and positive patient outcomes, sound UM/UR practices are integral to achieving successful results during activities such as RAC audits. During this webinar, experts from the Joffit Group, will discuss the components involved in setting up an efficient UM/UR process and will review CRHC's Utilization Management Resource for Critical Access Hospitals: a concise, easy-to-use tool for hospital providers and staff that explains the role of UM/UR in various CAH settings including: Inpatient, Outpatient, Observation, and Swing Bed. This webinar is FREE for all CRHC-member Colorado CAHs; $79 for all non-member Colorado CAHs, and $99 for all others. For more information click here.
Wednesday, February 1, 2012
Register Now for the 2012 Forum - Essential Perspectives for the Safety Net Providers
Our annual event brought to you by the Colorado Rural Health Center and ClinicNET is just around the corner. Join us April 11th - 13th at the Sheraton Denver West in Lakewood, Colorado and participate in the numerous education, training and networking opportunities available to you. For more information on this event or to register please visit our website or contact Courtnay Ryan at cr@coruralhealth.org. See you there!
New Policy Brief from the Flex Monitoring Team: Relevant Quality Measures for CAHs
Dear Colleagues,
The Flex Monitoring Team is pleased to announce the release of a new Policy Brief on rural relevant quality measures for Critical Access Hospitals (CAHs). The purpose of this study is to provide rural health care providers and policymakers with an up-to-date set of relevant quality measures for CAHs.
Relevant Quality Measures for Critical Access Hospitals
Key Findings:
A comprehensive set of quality measures are relevant for Critical Access Hospitals (CAHs), including measures addressing appropriate care for inpatients with specific medical conditions, global measures addressing appropriate care across multiple medical conditions, and Emergency Department measures.
Although CAHs have low volumes of patients for some measures, the measures are relevant because they address serious conditions, are based on strong evidence, and reflect the standard of care that all hospitals should aim to provide for every patient.
Many relevant quality measures are now ready for reporting. Other measures need specifications to be finalized and/or a data reporting mechanism to be established; these could be reported starting in January 2013.
It would significantly reduce the reporting burden for CAHs if all entities involved in regulation, accreditation, and payment would agree to accept a single set of quality measures with common specifications. Implementation of a common set of CAH quality measures and a unified data reporting structure will require coordinated actions by multiple organizations.
To motivate improvement in the quality of careand help patients make informed decisions in selecting health care providers, all CAHs should publicly report on relevant quality measures.
For more information, contact Michelle Casey, mcasey@umn.edu
The Flex Monitoring Team is pleased to announce the release of a new Policy Brief on rural relevant quality measures for Critical Access Hospitals (CAHs). The purpose of this study is to provide rural health care providers and policymakers with an up-to-date set of relevant quality measures for CAHs.
Relevant Quality Measures for Critical Access Hospitals
Key Findings:
A comprehensive set of quality measures are relevant for Critical Access Hospitals (CAHs), including measures addressing appropriate care for inpatients with specific medical conditions, global measures addressing appropriate care across multiple medical conditions, and Emergency Department measures.
Although CAHs have low volumes of patients for some measures, the measures are relevant because they address serious conditions, are based on strong evidence, and reflect the standard of care that all hospitals should aim to provide for every patient.
Many relevant quality measures are now ready for reporting. Other measures need specifications to be finalized and/or a data reporting mechanism to be established; these could be reported starting in January 2013.
It would significantly reduce the reporting burden for CAHs if all entities involved in regulation, accreditation, and payment would agree to accept a single set of quality measures with common specifications. Implementation of a common set of CAH quality measures and a unified data reporting structure will require coordinated actions by multiple organizations.
To motivate improvement in the quality of careand help patients make informed decisions in selecting health care providers, all CAHs should publicly report on relevant quality measures.
For more information, contact Michelle Casey, mcasey@umn.edu
Update to the Primary Care Incentive Payment Program for Critical Access Hospital Providers Paid Under Optional Method
On Tue Nov 15, 2011, CMS issued a listserv message with billing instructions for Critical Access Hospitals (CAHs) paid under the Optional Method regarding the Primary Care Incentive Payment (PCIP) Program. The message instructed CAH providers to continue submitting their National Provider Identifiers (NPIs) using the “other provider” field located in loop 2310C on the current electronic claim format.
After further research, CMS has determined that, in addition to reporting the NPI in loop 2310C, CAH providers will need to report the same NPI as well as the information that is required in loop 2310B defined as “operating physician.” This will ensure CAH claims submitted using the Accredited Standards Committee (ASC X12) version 5010A2 will continue to receive their PCIP bonus without any interruption.
Change Request 7686 has been created and will be implemented by contractors to update the Medicare systems to assign the PCIP bonus payments based on the NPI from loop 2310D, “rendering physician.” However, until the successful implementation of CR7686 – expected to take place in July – the reporting of the NPI for the PCIP bonus payments should continue as described above.
After further research, CMS has determined that, in addition to reporting the NPI in loop 2310C, CAH providers will need to report the same NPI as well as the information that is required in loop 2310B defined as “operating physician.” This will ensure CAH claims submitted using the Accredited Standards Committee (ASC X12) version 5010A2 will continue to receive their PCIP bonus without any interruption.
Change Request 7686 has been created and will be implemented by contractors to update the Medicare systems to assign the PCIP bonus payments based on the NPI from loop 2310D, “rendering physician.” However, until the successful implementation of CR7686 – expected to take place in July – the reporting of the NPI for the PCIP bonus payments should continue as described above.
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